Individual
MICHAEL BILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
959 MANOR PARC DR, DECATUR, GA 30033-4063
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN011914
GA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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